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. 2023 Sep 28;25(10):euad295. doi: 10.1093/europace/euad295

Figure 4.

Figure 4

Micro- and macro-dislodgement of LBBAP leads in two different patients. (A) Micro-dislodgement of a Solia lead. At implantation, the transition in QRS from non-selective left septal fascicular pacing to myocardial capture is visible (note the increase in V6 R-wave peak time). At Day 4 (D4), there is a loss of terminal R-wave in V1 with an increase in R-wave peak time in V6, with a further broadening of the QRS at Day 11 (D11). (B) Left bundle branch area pacing with a Solia lead on the day of implantation (D0) with lead macro-dislodgement on Day 1 (D1). Electrical parameters were good, and no repositioning was deemed necessary, with stable electrical parameters at 1 year and uneventful follow-up. LBBAP, left bundle branch area pacing.

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